THE COMPETENCY PACKAGE FOR

R.D. TRAINING COMPLETION

EFFECTIVE FROM

JANUARY 2019

INTRODUCTORY PAGE

Indian Dietetic Association

DIETETIC INTERN’S GUIDELINES &

COMPETENCY PACKAGE

NAME:

DATE: / / to / /

INSTITUTION:

Guidelines - Will be discussed under:

1. OBJECTIVES

1. To Understand the Functioning of the Dietary

Department.

1. To Gain Knowledge and Practical Experience in

the Nutritional Management of Various Disorders.

1. To Gain Experience in All Aspects of Food Service

Management.

1. To Develop Expertise in Various Types of

Communication and Soft Skills.

1. To Understand Application of a Research

Approach in Solving Problems.

2. DETAILED PROTOCOL

The total internship period is as follows:

6 months= 26 weeks=182 working days.

This should be continuous internship for 6 months

in the Multi-specialty hospital (inclusive of all

aspects of this competency package) recognized by

IDA & listed on website.

Please Note: One weekly of must be given to

interns. Public holidays as per norms &

discretion of Chief Dietitian

3. KNOWLEDGE BASE & SKILL SETS TO BE ACQUIRED

A. Gathering work experience as a Hospital Dietitian for indoor patients of various hospital departments. (To learn actual job profile of Hospital Dietician)

B. Gathering work experience and developing expertise inNutritional Management (Nutrition Care Process, Screening,Diagnosis, Intervention & Follow-up) and CounselingTechniques of Out patients.

C. Developing skills in Independent Nutritional Management ofcases as well as its documentation.

D. Developing skills in Record Keeping, Organizing Material ,Presentation of Case Study and Effective Communication.

3. KNOWLEDGE BASE & SKILL SETS TO BE ACQUIRED

The Duration of Clinical

Posting/Rotations

ROTATION DURATION

Clinical 1 Medicine 4 weeks

Clinical II Critically ill 2 weeks

Clinical III Super-Specialty 3 weeks

Clinical 1V Surgery 3 weeks

Clinical V Pediatric 2 weeks

Clinical VI Cardiac/Nephron 2 weeks

Clinical VII Endocrinology & Diabetes 4 weeks

Food Service/General Management 4 weeks

Community Nutrition 2 weeks

The intern has to be involved in OPD practice for a

total of 360 hours during the period of internship.

The time spent in the OPD could range from 2-4

hours /day.

Note: This can occur concurrently with the

clinical postings in different departments of

the hospital

●

Students are expected to document/submit 50 cases from different hospital departments during

their period of internship.

This would be under the guidance of the dietitian and would be reviewed and assessed by her before

submitting to RD Board as soft copy in zipped folder.

Rotation Period No. of Cases

Case Category

1. Clinical 1 Medicine 4 weeks 10 Infectious (Malaria, Dengue,

TB)/Hypertension/CVA/Stroke/Ane

mia/COPD/ILD/Renal

Calculi/Obesity/HIV

2. Clinical II Critically ill 2 weeks 5 EN feeds, 1 Diabetic RT

(fragmented) (DKA), 1 Renal, 1

Hepatic Encephalopathy, 1 ARDS

on Ventilator, Pancreatitis

(Continuous Drip Feed), 1 TPN or

NJ

3. Clinical III Super-Specialty 3 weeks 10 4 Gastro (Cirrhosis, Hepatitis, IBD),

3Onco ( ENT+ Hematology), 2

Nephro, 1 Neuro/ Neuromuscular

(AIDP/ GBS/ CIDP)/Pre eclampsia

of pregnancy/ PIH/ Skin Pemphigus'

vulgaris/Steven Johnson syndrome

Rotation Period No. of Cases

Case Category

4. Clinical 1V Surgery 3 weeks 5 1 Onco, 1Trauma, 1 Major

Abdomen/Whipples, 1 Stoma,

1 IBS (Small Bowel Resection)

or

1 with 35%Burns /Renal

transplant/Chylous

Ascites/Head Injury on GT

feeds

5. Clinical V Pediatric 2 weeks 5 3General+2Surgical,1PEM,

1Nephrotic

syndrome,1Wilsons

disease/Pradder

willy/CLD/TOF/MVR &

Ileostomy Infant

Rotation Period No. of Cases

Case Category

6. Clinical VI Cardiac/Nephro

2 weeks 5 3 General+2 Surgical (1IWMI,

1HF with CCF/ RHD/1LVF

with EF 15%), (1CABG,

1VSD)

7. Clinical VII Endocrinology & Diabetes

4 weeks 10 2 TypeI, 1 GDM, 1 Type2 with

pregnancy+1 Diabetic Foot+1

Renal DI Diabetic+2

Uncontrolled DM on 4 doses

of insulin & 1on Basal Bolus

&1 on OHA

(secretagogue+Bigunides or

Alfa glucosidase inhibitor), PCOS, Hypothyroidism

IMPORTANT NOTE

● It is not necessary to work on the cases onlyduring the posting in a particulardepartment.

● The intern, under the guidance of herdietitian can select cases as per availabilityin the hospital.

● (See Appendix for format to be used for eachpatient. To be filed and submitted toInternship Coordinator.)

The intern is required to present 4+2=6 cases of the 50 cases studied before a panel of experts as follows;

1.Trainer Dietitian

2. R. D. Representative of the chapter or a person deputed

by the Chapter

3.Medical expert or another Chief /Senior Dietitian

Note; 4 cases can be presented internally & 2 cases must

be evaluated by external jury in format given (annexure 4)

1. Case studies as per standard case-study format as given on website, should be submitted to the training institute/dietitian.

2. The case-study evaluation card should include the name of the intern, case name and marks out of 5 x 6 = 30 marks, and signatures of all evaluators.

3. Format to be downloaded from web site.

RESEARCH PROJECTS

●ANY ONE PROJECT LISTED SHOULD BE DONE & SUBMITTED.

●PAN INDIA STANDERDIZATION PROJECT AS GIVEN ON WEBSITE.

●2nd Dissertation clinical study.

Continued…. Next slide

3rd Research Project Option

● 10 or more subjects of a single clinical condition to be studied , critically evaluated and comparative analysis to be done

● Focusing on Evidence based MNT, Counselling , Education , physical activity & Recommendations. E.g.; DM,CKD…

● Research Protocol to be prepared as per research methodology standards . & submitted in the format of paper submission.

The intern is expected to acquire skills

required for day to day administration of the

Dietetics Department.

Time allotted: 1 week or 60 hours

MINI-PROJECTS

In each rotation, the dietitian may give the

intern small specific projects.

▪ Preparing SOP, Enteral Nutrition Algorithm

▪ Reviewing a patient education leaflet and

updating the information,

▪ Getting patient or cafeteria Feedback Assisting

at a seminar,CME,Dietetics day,

▪ Disease specific recipes

▪ Exchange list

▪ These should be listed for each rotation with a short description.

▪ (See Appendix for format)

▪

COMPETENCY EVALUATIONGRID

COMPETENCY EVALUATIONCOMPONENTS

Total out of Marks

Marks obtained

Case Studies (50 cases) 30

Counselling Skill & Technique 5

Skill in Nutritional Management of Patient 5

Case Study Presentation 30

Community Nutrition Program 10

Research Project 15

Food Service Management 5

Total 100

Minimum Passing marks for internship is 60%SIGN & STAMP